Healthcare Provider Details

I. General information

NPI: 1164028932
Provider Name (Legal Business Name): SARAH LAWS LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH CARROLL

II. Dates (important events)

Enumeration Date: 12/08/2020
Last Update Date: 12/20/2022
Certification Date: 12/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8002 JONES RD
JESSUP MD
20794-9536
US

IV. Provider business mailing address

8002 JONES RD
JESSUP MD
20794-9536
US

V. Phone/Fax

Practice location:
  • Phone: 757-598-1328
  • Fax:
Mailing address:
  • Phone: 757-598-1328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMFT117009
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT117009
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: